The South African guidelines on Enuresis—2017

ConclusionAn independent, unbiased, national evaluation and treatment guideline based on the pathophysiological subcategory is proposed using an updated, evidence based approach. This Guideline has received endorsement from the South African Urological Association, Enuresis Academy of South Africa and further input from international experts within the field.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research

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AbstractIntroductionNocturnal enuresis is an infrequent uncontrolled voiding during sleep in a child aged 5  years or more without any congenital or acquired disorders of the central nervous system.ObjectiveTo compare  immediate and short-term effects of interferential currents (IFC) and transcutaneous electrical nerve stimulation (TENS) in the treatment of children with primary nocturnal enuresis (PNE) in numbers of wet nights and quality of life (QoL).Study design52 children aged 7 –14 (10.6 ± 1.9) having PNE, were assigned randomly into two groups (26 children for each group). B...
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
Discussion Enuresis is a multifactorial disease that can lead to a diversity of problems for the child and family. Children presenting with Enuresis require careful evaluation and treatment to avoid future psychological and behavioral problems. The panel addressed recommendations on up to date choice of diagnosis evaluation and therapies.
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
AbstractEnuresis (intermittent urinary incontinence during sleep in a child aged ≥ 5 years) is commonly seen in paediatric practice. Despite the availability of effective interventions, treatment resistance is encountered in up to 50% of children. In this educational review we attempt to provide insight into the causes of treatment resistance, and offer practical suggestions f or addressing this condition using an interprofessional approach. We explore the pathophysiology of and standard treatments for enuresis and discuss why standard treatments may fail. An interprofessional approach to treatment resistance is propose...
Source: Pediatric Nephrology - Category: Urology & Nephrology Source Type: research
ConclusionAn independent, unbiased, national evaluation and treatment guideline based on the pathophysiological subcategory is proposed using an updated, evidence based approach. This Guideline has received endorsement from the South African Urological Association, Enuresis Academy of South Africa and further input from international experts within the field.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research
Conclusion An independent, unbiased, national evaluation and treatment guideline based on the pathophysiological subcategory is proposed using an updated, evidence based approach. This Guideline has received endorsement from the South African Urological Association, Enuresis Academy of South Africa and further input from international experts within the field.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research
I sometimes hit pay dirt with this one, I might spare myself having to change the contour sheet and the underlying mattress pad.Alzheimer's Reading RoomOur reader Dacron20 asked under the article,Taking Care of Snootzie.Was wondering if anybody is having problems with their parent wetting the bed at night.What is the Difference Between Alzheimer ’s and DementiaOur Mom is urinating more frequently at night. We have had pull ups on her at night for awhile, but for the past 2 weeks she is urinating out of the pull ups and wetting the bed. Thanks.Read on for one of the best solutions to this problem I have ever read.Subs...
Source: Alzheimer's Reading Room, The - Category: Neurology Tags: alzheimer bed wetting alzheimers health life news Urinary Incontinence UTI Source Type: blogs
We describe a case series of 5 adult patients in whom OSA was diagnosed by laboratory polysomnography, who presented with enuresis that resolved after treatment with continuous positive airway pressure (CPAP). All cases occurred in the setting of obesity, in addition to other known risk factors for urinary incontinence and enuresis. OSA was diagnosed as severe in all but one case, which was mild. One patient noted recurrence of enuresis that coincided with malfunction of his CPAP machine. There is growing evidence that CPAP therapy may alleviate OSA and enuresis in adults with both conditions. Clinicians should routinely a...
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
AbstractNocturnal enuresis (NE) is a common health problem. Approximately 10% of 7-year-old children wet the bed regularly during sleep. Enuresis can be categorized into monosymptomatic (MEN) and nonmonosymptomatic (NMEN) forms. MEN occurs without any other symptoms of bladder dysfunction. NMEN is associated with dysfunction of the lower urinary tract with or without daytime incontinence. The rate of comorbid gastrointestinal, behavioral, and emotional disorders is elevated depending upon the subtype of NE. A careful clinical history is fundamental to the evaluation of enuresis. Diagnostic procedures include medical histor...
Source: Pediatric Nephrology - Category: Urology & Nephrology Source Type: research
Huffington Post is proud to partner with the American Sleep Association (ASA) to promote sleep awareness. What is Primary Nocturnal Enuresis (PNE)? Primary nocturnal enuresis is the medical term for bedwetting. Bedwetting is a very common problem, and parents are often wondering how best to approach it for their child. While many parents report that their child wets the bed because he or she is a very deep sleeper, the validity of this has been debated. There is an association between children who wet the bed and those who spend more time in deeper stages of sleep but nonetheless, bedwetting can occur at any time during ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Abstract Nocturnal enuresis is caused by a mismatch between the nocturnal bladder capacity and the nocturnal diuresis rate, in the presence of a deficient arousability in the majority of patients, according to the pediatric and urologic literature. Psychiatric and psychologic literature are still concentrating on the potential role of psychological factors and central nervous mechanisms in the pathogenesis, as is reflected in the DMS-5 criteria. However, research has clearly shown several important comorbidities between neuropsychological dysfunctions and nocturnal enuresis. Due to the increased comorbidity of (ne...
Source: Pediatric Nephrology - Category: Urology & Nephrology Source Type: research
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